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1
Supplementary information
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Physiological investigation
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Motor nerve conduction studies: for the mother AJG82, median nerve (at elbow): 56.2 m/s,
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peroneal nerve: at fibular head 52.3 m/s, at the knee 62.1 m/s, tibial nerve (at the knee) 46.1
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m/s, low CMAP amplitudes and normal conduction velocities; for AFB2, median nerve
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(proximal): 20.5 m/s, peroneal nerve at the fibular head: 20.0 m/s, tibial nerve (at the knee)
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14.7 m/s, low CMAP amplitudes and low normal conduction velocities; for AFB3, ulnar
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nerve R (at wrist) 28.0 m/s, tibial nerve R (at knee) 11.0 m/s, very low CMAP amplitudes
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(ulnar nerve 27.0%, tibial nerve 5.2%, peroneal nerve 23.5%), exceptionally high voltage
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required; for AFB4, peroneal nerve proximal motor latency 15.6, conduction 7 m/s, median
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nerve: distal motor latency 3.8, amplitude 0.283 mV, proximal motor latency 13.6, conduction
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6 m/s. Needle EMG investigation: for AGJ82, abnormal activity of muscle fibers at rest; for
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AFB2, no spontaneous activity of muscle fibers at rest; for AFB4, massive spontaneous
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activity of muscle fibers at rest with no voluntary movements and positive waves suggesting
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denervation. Muscle biopsy analysis revealed the presence of centralized nuclei for AGJ82
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and AFB2 but not for AFB4. Altogether, these features are suggestive of centronuclear
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myopathy for AGJ82, centronuclear myopathy or lower motor neuron disease for AFB2,
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demyelinating Charcot-Marie-Tooth disease or Spinal muscular atrophy (SMA) for AFB3 and
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anterior horn disease or SMA for AFB4.
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METHODS
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Muscle biopsy preparation and staining
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Muscle biopsies were obtained from AFB2, AFB4 (quadriceps) and their mother AGJ82
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(tibialis anterior). The AFB4 biopsy was obtained post-mortem. The AFB4 and AFB2
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biopsies were analyzed with Hematoxin-eosin staining. Ten µm sections were incubated for 1
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h with R2641, rabbit in house polyclonal antibodies against dynamin 2,1 then 45 min with
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secondary antibodies (AlexaFluor 488 goat anti-rabbit, Invitrogen). Fluorescence was
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examined with a Leica SP2-AOBS confocal microscope (Leica Microsystems). Pictures were
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processed with the Tcstk and Dvrtk software (Jean-Luc Vonesch, Imaging Center, IGBMC)
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and Photoshop 7.0 (Adobe).
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Cell culture
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Control (3 unrelated cell lines) and patient (AFB2 with the homozygous p.Phe379Val
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mutation) fibroblasts were grown in Dulbecco’s modified medium (DMEM) supplemented
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with 10% (v/v) fetal calf serum (FCS) at 37°C in a humidified incubator, 5% CO 2. Protein
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concentrations were determined as per standard techniques and 30 µg of each sample were
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resuspended in Laemmli loading dye and analyzed by Tris-Glycine SDS-PAGE and western
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blot analysis. Antibodies employed included GAPDH (Millipore), and in house R2680 rabbit
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polyclonal anti-dynamin 2 antibodies.1
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Transferrin uptake
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Serum-deprived fibroblasts were incubated with AlexaFluor 633 conjugated transferrin
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(Invitrogen) for 15 min. Cells were washed twice for 3 min in 0.2 M acetic acid, 0.5 M NaCl
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followed by washing in 0.25 M Tris (pH 10) for 2 min and were subsequently fixed in 1%
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(v/v) formaldehyde. To block dynamin action, cells were treated with dynasore, a small non-
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competitive inhibitor of dynamin by acting on its GTPase domain (Sigma Aldrich).2 The
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samples were analyzed on the FACSCalibur (BD Biosciences) employing the Cell Quest Pro
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program (BD Biosciences). Subsequent analysis was performed employing the Flowjo
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software (Tree Star Inc., Oregon, USA). The student’s t test was used for statistical analysis. P
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values of <0.01 were considered significant.
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Dynamin 2 in vitro experiments
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Cloning, expression and purification: The cloning of the wild-type human dynamin 2 (isoform
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1; Accession number NM_001005360) into pENTR1A has been reported elsewhere.3 Human
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dynamin 2 mutant (p.Phe379Val) was generated by primer directed PCR mutagenesis from
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the wild type construct using primers 5’ CTGGTAAAGATGGAGGTTGACGAGAAGGAC
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3’ and 5’ GTCCTTCTCGTCAACCTCCATCTTTACCAG 3’. The pDEST8 (Invitrogen)
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expression constructs were generated by homologous recombination. WT and mutant
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(p.Phe379Val) human DNM2 were expressed in SF9 insect cells and purified against GST-
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SH3 (Amphiphysin I; a kind gift from P. De Camilli). Purified dynamin 2 proteins were
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stored in 20 mM HEPES-KOH pH 7.4, 300 mM NaCl, 1 mM DTT, 1 mM EGTA, 30% (v/v)
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glycerol, snap frozen and stored at -80°C. GTPAse assays to measure dynamin’s basal
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activity were performed in 20 mM HEPES-KOH 7.4, 100 mM NaCl, 1 mM MgCl2 using the
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Malachite green method in the presence of 0.5 mM GTP. 4 EM tubulation assays: 2-5 µL of
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GTPase buffer (20 mM HEPES pH 7.4, 100 mM NaCl, 1mM MgCl2) were deposited on
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parafilm to form a water droplet. Purified dynamin 2 protein solution (2-5 µl of a 0.5-2 mg/ml
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solution) were then added to the droplet, and the reaction was initiated by adding 0.5-1µL of
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liposomes composed of 85 % (m/m) phospholipids [30% brain phosphatidylethanolamine
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(PE), 5% liver phosphoinositides (PI), 30% palmitoyl-oleyl phosphatidylserine (POPS) and
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35% palmitoyl-oleyl phosphatidylcholine (POPC)], and 15% (m/m) cholesterol; Avanti Polar
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Lipids Inc., USA prepared using the spontaneous growth method.5 After 5 min incubation at
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room temperature, a carbonized EM grid was deposited on the top of the droplet for 1 min.
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The grid was then washed in a 50 µL droplet of GTPase buffer, blotted against filter paper,
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and stained by depositing the grid onto a 10 µL Uranyl Acetate 2% droplet for 30 sec. Grids
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were then dried with filter paper, and directly analyzed with a FEI Tecnai G2 Sphera
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microscope.
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In situ hybridization
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In situ hybridization assays on mouse embryos sections were performed, employing the Dnm2
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mRNA probe (obtained from Eurexpress, http://www.eurexpress.org/), as previously
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described.6 Controls (lacking mRNA probe) were performed in parallel to monitor levels of
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non-specific binding.
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Injection of morpholinos into zebrafish embryos
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A translation blocking morpholino (5’ ATTCCTCCATCCCCCGGTTGCCCAT 3’) against
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the Danio rerio dnm2 mRNA was designed and purchased from Gene Tools (Oregon, USA).
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Wild-type (AB) and transgenic Tg(flk1:eGFP) zebrafish were used. dnm2 MO (4 or 5 ng) was
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injected into one cell stage embryos. Anti-acetylated tubulin labeling in zebrafish was
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performed as previously described. 7
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Imaging and data processing
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Live zebrafish embryos were anesthetized in Tricaine solution and mounted in low melting
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point agarose gel. The excitation light was provided by a mode-locked Ti: Sapphire laser
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(Chameleon Ultra, Coherent Inc., USA) that delivers 150 fs pulses with 80 MHz repetition
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rate. The excitation beam was focused on the sample by 20x 0.95 N.A. water immersion
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objective (Leica Microsystems). The excitation wavelength was 900 nm for second harmonic
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generation. The second harmonic and fluorescence signals were collected in trans and epi
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configuration respectively. The data visualization was performed using ImageJ and Imaris
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software (Bitplane).
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REFERENCES
1.
Cowling BS, Toussaint A, Amoasii L et al: Increased expression of wild-type or a centronuclear
myopathy mutant of dynamin 2 in skeletal muscle of adult mice leads to structural defects
and muscle weakness. Am J Pathol 2011; 178: 2224-2235.
2.
Macia E, Ehrlich M, Massol R, Boucrot E, Brunner C, Kirchhausen T: Dynasore, a cellpermeable inhibitor of dynamin. Dev Cell 2006; 10: 839-850.
3.
Nicot AS, Toussaint A, Tosch V et al: Mutations in amphiphysin 2 (BIN1) disrupt interaction
with dynamin 2 and cause autosomal recessive centronuclear myopathy. Nat Genet 2007;
39: 1134-1139.
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4.
Leonard M, Song BD, Ramachandran R, Schmid SL: Robust colorimetric assays for dynamin's
basal and stimulated GTPase activities. Methods Enzymol 2005; 404: 490-503.
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5.
Takei K, Haucke V, Slepnev V et al: Generation of coated intermediates of clathrin-mediated
endocytosis on protein-free liposomes. Cell 1998; 94: 131-141.
6.
Schaeren-Wiemers N, Gerfin-Moser A: A single protocol to detect transcripts of various types
and expression levels in neural tissue and cultured cells: in situ hybridization using
digoxigenin-labelled cRNA probes. Histochemistry 1993; 100: 431-440.
7.
Colantonio JR, Vermot J, Wu D et al: The dynein regulatory complex is required for ciliary
motility and otolith biogenesis in the inner ear. Nature 2009; 457: 205-209.
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FIGURE LEGENDS
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the right arm of AFB3 shows slender bones of humerus, radius and ulna with normal bone
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density.
Supplementary Figure 1. Clinical characterization of patients. Anteroposterior radiograph of
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Supplementary Figure 2. Homozygosity by descent for the five children employing a 250 K
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Affymetrix Mapping array. Homozygous regions are depicted in dark blue over the whole
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chromosome 19. The largest common region of homozygosity for the three affected children
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(indicated by a red box) was found on chromosome band 19p13, from 8483868 to 12350726
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(hg18 release) and contained 141 genes including the DNM2 gene.
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Supplementary Figure 3. Analysis of a muscle biopsy from a heterozygous carrier. (a)
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Hematoxin-eosin staining of right tibialis anterior muscle biopsy of the AGJ82 heterozygous
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mother (left: 10x magnification, right: 40x magnification). Heterogeneous fibers size with
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hypertrophic and hypotrophic fibers and a high proportion of central nuclei are observed,
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typical for DNM2-related autosomal dominant centronuclear myopathy. Scale bar represents
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50 µm. (b) The presence of the p.Phe379Val mutation at the heterozygous state does not
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affect dynamin 2 localization in muscle. Immunostaining of longitudinal sections of control
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(46 years old) and AGJ82 muscle biopsies with anti-dynamin 2 R2641 specific antibodies.
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Scale bar represents 10 µm.
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Supplementary Figure 4. Impact of the p.Phe379Val on cellular processes involving DNM2
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action. (a) The p.Phe379Val mutation does not affect centrosome cohesion as revealed by
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staining control and p.Phe379Val fibroblasts with γ tubulin antibodies; centrosome cohesion
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was perturbed in 2%+/-1% of control cells versus 3%+/-1% for p.Phe379Val cells. (b) The
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p.Phe379Val mutation does not cause trans or cis-Golgi network fragmentation. Trans and
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cis-Golgi network morphology was compared in control and patient fibroblasts by
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immunofluorescence using anti-golgin 97 and GM130 antibodies. Nocodazole treatment
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resulted in fragmentation of the network in both instances. Nuclei were stained with Hoechst.
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Scale bars represent 10 µm.
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Supplementary Figure 5. Dnm2 morphant morphology. Dnm2 morphant phenotype at 48
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hpf (hours post-fertilization) (a-c) and at 72 hpf (d, e). Dnm2 morphants display variable
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phenotypes and severe tail truncation can be seen in a small fraction (10%, n=300) of injected
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embryos (c). These embryos were discarded and further analysis was performed at 72 hpf
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using non-truncated embryos (70%, n=300) (d, e).
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Supplementary Figure 6. Morphology of nerves in the tail of control and dnm2 MO-injected.
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Peripheral nerves detected with anti-acetylated tubulin immunofluorescence (Ac. Tub.) appear
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similar in control and dnm2 MO embryos.
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